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| Am I protected against pregnancy if my husband withdraws and ejaculates away from me? #1024/10 |
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Dear doctor, my husband decided to ejaculate away from me as we had a normal intercourse until the moment before ejaculation, which he did in the bathroom. Does that have any effect on us?
We do this as a way to prevent pregnancy because I can’t take pills or have a device inserted into my uterus. I have a problem in my heart which is relaxation of one of the heart valves.
Please answer me as this is urgent.
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There are several types of effective contraceptives you are most likely able to use SAFELY.
Exactly what heart problem do you have?
Until you settle on another method, continue doing just what you and your husband are doing. He needs to pull out just as soon as he thinks ejaculation is about to happen.
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Her reply on 10-16: “Dear Dr, Hatcher, thanks for your reply.”
“I have relaxation in my heart valves. Really what I want to know, does the method that my husband and I are using affect his desire or his vertigo long-term? Does ejaculation away from me, have any psychological effect on him?”
In spite of your heart valve, you may use a Mirena IUD, progestin-only pills, an Implanon implant or Depo-Provera injections. You could also use condoms carefully.
Once he pulls out of you, you can continue to have sex together to bring about an orgasm, for him and for you. Some men really do not like intercourse (like intercourse as much), when they are having to concentrate on when ejaculation is going to happen. This is the primary psychological effect of using withdrawal.
Below are the most recent advantages and disadvantages of withdrawal.
When the man senses that he is about to come, and he pulls his penis out of the vagina this is called withdrawal. The man ejaculates (comes) outside of the vagina. Sperm is not deposited in the vagina, so pregnancy will not occur. This takes a lot of discipline! If the woman has not had an orgasm, the man can stimulate her in other ways after withdrawal. It works best if the couple has agreed to use this method in advance. Among typical couples who use withdrawal, about 27% will experience an accidental pregnancy in the first year. If withdrawal is used consistently and correctly, only about 4% will become pregnant in an entire year of having intercourse.
WHAT ARE THE ADVANTAGES?
- Withdrawal is always an option. It is completely private.
- You may be surprised at how effective it is if used correctly every time.
- No fluid, or much less fluid, is deposited into the woman’s vagina (may be less messy).
- Withdrawal causes no medical complications.
- No supplies are required. Withdrawal is free (except for the cost of an unintended pregnancy should a failure occur).
- With practice, withdrawal may increase a man's understanding and awareness of his sexual response cycle.
WHAT ARE THE DISADVANTAGES?
- Couples often want to keep thrusting.They don't want to stop when it is time to pull out.
- The man may worry: “Will I withdraw in time?” And the woman may worry: “Will he withdraw in time?” This concern may decrease their enjoyment of intercourse.
- Withdrawal provides poor or no protection against sexually transmitted infections, including HIV (the AIDS virus).
- Sperm, in small numbers, may be present in the preejaculatory fluid, or precum, that comes out of the penis before ejaculation.
- Males with sexual dysfunction such as premature ejaculation or unpredictable ejaculation may not be able to use withdrawal.
- A man's cooperation and commitment to pulling out at the right time is needed for withdrawal to work.
You can go to our website: www.managingcontraception.com and click on Choices.
You may also order this wonderful new education book from our website or by calling 404-875-5001.
Key Words: ejaculate, away, intercourse, prevent pregnancy, devices, uterus, heart valve, birth control pills, effective contraceptives, safe, desires, vertigo, psychological effect, orgasm
Posted 11-2-2010, Updated 11-7-2010
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Robert A. Hatcher MD, MPH
Professor of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta, GA
---2010-11-7
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The directors and owners of this website and any publications and information concerning health matters offered here advise a person with a particular problem to consult a primary-care clinician or a specialist in obstetrics, gynecology, or urology (depending on the problem or the contraceptive) as well as the product package insert and other references before diagnosing, managing, or treating the problem. |
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